Billing
2025 influenza, pneumococcal, and hepatitis B vaccine reimbursement
Read this article for information on vaccine fees for calendar year 2025.
Medicare deductible and coinsurance
View annual deductibles and coinsurance for beneficiaries covered through the Medicare fee-for-service program.
Medicare deductible and coinsurance
View annual deductibles and coinsurance for beneficiaries covered through the Medicare fee-for-service program.
Potential assignment violations by clinical laboratories
Some clinical laboratories in our jurisdiction are charging patients prior to performing services, a potential assignment violation. This article outlines Medicare regulations and potential penalties…
2026 Part B portable x-ray reimbursement rates - response to comments
This article contains the response to comments for the 2026 preliminary Part B portable x-ray transportation rates and a link to the final 2026 rates.
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
Please review the revised blood product codes list.
Avoiding MSP claim rejects
Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP eligibility and avoiding MSP claim rejects.
Process for CPT category III T codes
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
Process for CPT category III T codes
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1,…